11 commercial payer policies list 22804. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 22804 |
|---|---|---|
| Spine Surgery | Sep 19, 2026 | Covered |
| Spine Surgery | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Cigna Commercial Spine Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Lumbar Spinal Fusion | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Lumbar Spinal Fusion | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Lumbar Spinal Fusion | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Lumbar Spinal Fusion | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 22804 |
|---|---|---|
| EOCCO Spine Surgery Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Health Partners Plans Spine Surgery Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 22804 |
|---|---|---|
| Spine Procedures | Not recorded | Covered |